Changing indications for enucleation and selected unusual pathologies

Thaung, Caroline

doi:10.1016/j.sjopt.2019.07.009

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…The diagnosis of exudative retinal detachment led to administration of high-dose systemic corticosteroid therapy, but improvement in exudative retinal detachment was limited. The left eye was enucleated, which may have helped to gauge preoperative diagnostic accuracy and to provide a safety net for any unsuspected pathology (12). The final pathological examination revealed tuberculosis despite negative acid-fast staining.…”

Section: Discussionmentioning

confidence: 99%

Tuberculous choroiditis masquerading as sympathetic ophthalmia: a case report

Huang

Qin

Luo

et al. 2020

IRDR

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ocular tuberculosis, sympathetic ophthalmia, choroiditis A 26-year-old Chinese man was admitted to this clinic due to decreased vision in his right eye for 4 days and painful protrusion in his left eye for 20 days. He had no perception of light in his left eye and perception of hand motion (HM) in his right eye. Examinations revealed that the left eye's lens and iris had protruded, and corneoscleral perforation. The right eye had an anterior chamber reaction and severe exudative retinal detachment that were confirmed by fluorescein angiography. Systemic examinations failed to identify a cause. The presumptive diagnosis was sympathetic ophthalmia of the right eye. Therefore, systemic steroid treatment was administered and enucleation of the left eye was performed. Although steroid treatment had been initiated, exudative detachment did not vary markedly. A pathological examination of the left eye revealed ocular tuberculosis, and anti-tuberculosis treatment resulted in a gradual reduction in subretinal fluid as well as improved vision.

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Section: Discussionmentioning

confidence: 99%

Tuberculous choroiditis masquerading as sympathetic ophthalmia: a case report

Huang

Qin

Luo

et al. 2020

IRDR

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“…The cross-sectional studies in ocular pathology and ocular oncology allow us to characterize the epidemiology of disease and to derive prognostically and therapeutically-relevant data. The eagle’s eye overview of enucleation trends over the past 2 decades at a single institution by Thaung 9 offers an insight into the continually changing landscape of ocular disease and its management. The analysis of 100 consecutive older patients with retinoblastoma diagnosed at age 4 years or older over 6 decades by Masoomian and colleagues 10 offers an invaluable perspective on the clinical characteristics and histopathologic findings of this uncommon, “older-age” presentation of retinoblastoma, and additionally highlights the evolution of therapies through the years.…”

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confidence: 99%